| NPI | 1720353113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E KEST Pediatric Dentist 203-405-6301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CT 009872) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2012-03-19 |